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<!DOCTYPE html>
<html xmlns:th="http://www.thymeleaf.org">
<head  th:include="magicalcoder/v103/include/head :: commonHead('保单表编辑')"/>

<body class="childrenBody layui-hide">
<!--请不要删除magicaldrag注释标签，可以配合布局器进行联动布局-->
<!--magicaldrag-->
    <div class="layui-fluid">
        <div class="layui-card">
            <div class="layui-card-header">

            </div>
            <div class="layui-card-body">
                <form class="layui-form">
                    <div class="layui-form-item security_edit_form_param_id">
                        <label class="layui-form-label">主键</label>
                        <div class="layui-input-block">
                            <input type="text" class="layui-input" name="id"  placeholder="主键请保证唯一，如果已存在则会覆盖，如果不填写则新增"/>
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_guaranteeId">
                        <label class="layui-form-label">保单编号</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="guaranteeId" placeholder="保单编号" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_insureddate">
                        <label class="layui-form-label">投保日期</label>
                        <div class="layui-input-block">
                        <input type="text"  name="insureddate" placeholder="投保日期"  autocomplete="off" class="magicalcoder-laydate layui-input" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value=""  mc-attr-calendar="false" mc-attr-format="yyyy-MM-dd HH:mm:ss" mc-attr-show="false" mc-attr-range="false" mc-attr-trigger="click" mc-attr-type="datetime" mc-attr-is-init-value="true" mc-attr-show-bottom="true" mc-attr-theme="#ffffffff" mc-attr-position="absolute" mc-attr-lang="cn" mc-attr-z-index="66666666" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_confirmeddate">
                        <label class="layui-form-label">起保日期</label>
                        <div class="layui-input-block">
                        <input type="text"  name="confirmeddate" placeholder="起保日期"  autocomplete="off" class="magicalcoder-laydate layui-input" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value=""  mc-attr-calendar="false" mc-attr-format="yyyy-MM-dd HH:mm:ss" mc-attr-show="false" mc-attr-range="false" mc-attr-trigger="click" mc-attr-type="datetime" mc-attr-is-init-value="true" mc-attr-show-bottom="true" mc-attr-theme="default" mc-attr-position="absolute" mc-attr-lang="cn" mc-attr-z-index="66666666" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_expirydate">
                        <label class="layui-form-label">终止日期</label>
                        <div class="layui-input-block">
                        <input type="text"  name="expirydate" placeholder="终止日期"  autocomplete="off" class="magicalcoder-laydate layui-input" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value=""  mc-attr-calendar="false" mc-attr-format="yyyy-MM-dd HH:mm:ss" mc-attr-show="false" mc-attr-range="false" mc-attr-trigger="click" mc-attr-type="datetime" mc-attr-is-init-value="true" mc-attr-show-bottom="true" mc-attr-theme="default" mc-attr-position="absolute" mc-attr-lang="cn" mc-attr-z-index="66666666" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_coordinatingunitnumber">
                        <label class="layui-form-label">统筹单位编号</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="coordinatingunitnumber" placeholder="统筹单位编号" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_carId">
                        <label class="layui-form-label">与汽车表主键外键关系</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="carId" placeholder="与汽车表主键外键关系" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_timeofinitialregistration">
                        <label class="layui-form-label">初次登记时间</label>
                        <div class="layui-input-block">
                        <input type="text"  name="timeofinitialregistration" placeholder="初次登记时间"  autocomplete="off" class="magicalcoder-laydate layui-input" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value=""  mc-attr-calendar="false" mc-attr-format="yyyy-MM-dd HH:mm:ss" mc-attr-show="false" mc-attr-range="false" mc-attr-trigger="click" mc-attr-type="datetime" mc-attr-is-init-value="true" mc-attr-show-bottom="true" mc-attr-theme="default" mc-attr-position="absolute" mc-attr-lang="cn" mc-attr-z-index="66666666" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_renewalrecords">
                        <label class="layui-form-label">续保记录</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="renewalrecords" placeholder="续保记录" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_compensationrecords">
                        <label class="layui-form-label">赔偿纪录</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="compensationrecords" placeholder="赔偿纪录" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_sourceofbusiness">
                        <label class="layui-form-label">业务来源</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="sourceofbusiness" placeholder="业务来源" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_amountpayable">
                        <label class="layui-form-label">应交金额</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="amountpayable" placeholder="应交金额" lay-verify="magicalCoderVerify|mc_required" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_payer">
                        <label class="layui-form-label">交款人</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="payer" placeholder="交款人" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_payeraddress">
                        <label class="layui-form-label">交款人地址</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="payeraddress" placeholder="交款人地址" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_payertel">
                        <label class="layui-form-label">交款人电话</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="payertel" placeholder="交款人电话" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_operationtime">
                        <label class="layui-form-label">操作时间</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="operationtime" placeholder="操作时间" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_isprint">
                        <label class="layui-form-label">打印</label>
                        <div class="layui-input-block">
                        <select name="isprint" class="layui-input" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0"  placeholder="打印">
                             <option value="-1" selected="selected">请选择</option>
                             <option value="0" >未打印</option>
                             <option value="1" >已打印</option>
                        </select>
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_isprintinvoice">
                        <label class="layui-form-label">打印发票</label>
                        <div class="layui-input-block">
                        <select name="isprintinvoice" class="layui-input" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0"  placeholder="打印发票">
                             <option value="-1" selected="selected">请选择</option>
                             <option value="0" >未打印发票</option>
                             <option value="1" >已打印发票</option>
                        </select>
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_operator">
                        <label class="layui-form-label">经办人</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="operator" placeholder="经办人" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_verifier">
                        <label class="layui-form-label">审核人</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="verifier" placeholder="审核人" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_mark">
                        <label class="layui-form-label">标示</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="mark" placeholder="标示" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item security_edit_form_param_remark">
                        <label class="layui-form-label">备注</label>
                        <div class="layui-input-block">
                        <input type="text" class="layui-input" name="remark" placeholder="备注" lay-verify="magicalCoderVerify" magicalcoder-verify="|minLength=0" value="" />
                        </div>
                    </div>
                    <div class="layui-form-item ">
                        <div class="layui-input-block">
                            <a class="layui-btn security_edit_form_operate_save" lay-submit="" lay-filter="save">立即提交</a>
                            <button type="reset" class="layui-hide layui-btn layui-btn-primary" >重置</button>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
<!--/magicaldrag-->
    <div th:replace="magicalcoder/v103/include/main-js :: commonMain" />
    <script type="text/javascript"  th:src="@{/assets/admin/policytable/edit.js}"></script>
</body>
</html>
